| NPI | 1780107227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JEROME Clinical Social Worker 856-912-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17557) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-07-17 |